Lab & pathology prices at Providence Holy Family Hospital
Spokane, WA · every code in this section with a posted price and a Medicare benchmark.
738 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 17-Hydroxypregnenolone (84143) | $109.20 | $156 | 4.8× |
| 5 Nucleotidase (83915) | $130.90 | $187 | 11.7× |
| Acetylcholine receptor binding antibody (86041) range across 2 matching MRF lines |
$112.70–$345.80 | $161–$494 | varies |
| Acetylcholine receptor blocking antibody (86042) | $345.80 | $494 | 18.8× |
| Acetylcholinesterase Assay (82013) | $126 | $180 | 10.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $345.80 | $494 | 28.7× |
| Acth (82024) | $199.50 | $285 | 5.2× |
| Acth Stimulation Panel Adrenal Insufficiency (80400) | $161 | $230 | 4.9× |
| Actin smooth muscle antibody each (86015) range across 2 matching MRF lines |
$87.50–$105 | $125–$150 | varies |
| Acute hepatitis panel (80074) | $173.60 | $248 | 3.6× |
| Acylcarnitines Quant (82017) range across 2 matching MRF lines |
$63–$86.10 | $90–$123 | varies |
| Albumin Fluid (82042) range across 6 matching MRF lines |
$79.80–$93.80 | $114–$134 | varies |
| Albumin ischemia modified (82045) | $97.30 | $139 | 2.9× |
| Albumin serum (82040) | $51.10 | $73 | 10.3× |
| Aldolase (82085) | $105 | $150 | 10.8× |
| Aldosterone urine (82088) range across 5 matching MRF lines |
$46.90–$211.40 | $67–$302 | varies |
| Alkaline phosphatase isoenzymes (84080) | $119.70 | $171 | 8.1× |
| Allergen specific ige (86003) range across 4 matching MRF lines |
$12.60–$50.40 | $18–$72 | varies |
| Allergen specific igg (86001) | $16.10 | $23 | 2.1× |
| Allg Spec Ige Recomb Ea (86008) range across 2 matching MRF lines |
$21.70–$42 | $31–$60 | varies |
| Alpha-1-antitrypsin phenotype (82104) | $41.30 | $59 | 2.9× |
| Alpha-1-antitrypsin total (82103) range across 4 matching MRF lines |
$56–$154.70 | $80–$221 | varies |
| Alpha-Fetoprotein Serum (82105) range across 3 matching MRF lines |
$41.30–$166.60 | $59–$238 | varies |
| Alt (sgpt) (84460) | $71.40 | $102 | 13.5× |
| Aluminum (82108) | $77.70 | $111 | 3.0× |
| Amikacin trough (80150) | $376.60 | $538 | 25.0× |
| Amino Acids 6/> Amino Acids Quantitative Ea Spe (82139) range across 3 matching MRF lines |
$242.90–$378.70 | $347–$541 | varies |
| Amino Acids Multiple Qualitative Each Specimen (82128) | $166.60 | $238 | 12.0× |
| Aminolevulinic acid (ala) (82135) | $133 | $190 | 8.1× |
| Ammonia (82140) | $214.20 | $306 | 14.7× |
| Amniotic fluid protein test on cervicovaginal fluid (84112) | $261.80 | $374 | 2.7× |
| Amylase urine (82150) range across 8 matching MRF lines |
$159.60–$207.20 | $228–$296 | varies |
| Ana Titer (86039) | $80.50 | $115 | 7.2× |
| Anca Titer Each Antibody (86037) range across 3 matching MRF lines |
$37.10–$44.80 | $53–$64 | varies |
| Androstenedione (82157) range across 3 matching MRF lines |
$84.70–$106.40 | $121–$152 | varies |
| Angiotensin converting enzyme csf (82164) range across 5 matching MRF lines |
$63–$128.10 | $90–$183 | varies |
| Anti-Phospholipid Antibody (86148) | $183.40 | $262 | 11.4× |
| Antibody aspergillus (86606) range across 4 matching MRF lines |
$31.50–$95.20 | $45–$136 | varies |
| Antibody Bacterium Not Elsewhere Specified (86609) range across 4 matching MRF lines |
$27.30–$192.50 | $39–$275 | varies |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $55.30 | $79 | 3.6× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $217.70 | $311 | 12.9× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $164.50 | $235 | 12.5× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $110.60 | $158 | 7.2× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $196 | $280 | 10.8× |
| Antibody Fungus Not Elsewhere Specified (86671) range across 5 matching MRF lines |
$25.90–$107.80 | $37–$154 | varies |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$35.70–$61.60 | $51–$88 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $130.90 | $187 | 9.1× |
| Antibody Herpes Smplx Type 1 (86695) | $82.60 | $118 | 6.3× |
| Antibody HIV-1&HIV-2 single result (86703) | $168 | $240 | 12.3× |
| Antibody HIV-2 (86702) | $369.60 | $528 | 27.3× |
| Antibody Hla Class I High Definition Panel Qual (86832) | $1,174.60 | $1,678 | 3.6× |
| Antibody Hla Class II Phenotype Panel Qual (86831) | $483.70 | $691 | 5.9× |
| Antibody htlv/HIV antibody confirmatory test (86689) range across 3 matching MRF lines |
$156.10–$219.80 | $223–$314 | varies |
| Antibody identification leukocyte antibodies (86021) range across 2 matching MRF lines |
$322–$863.80 | $460–$1,234 | varies |
| Antibody Identification Platelet Immunogl Assay (86023) | $59.50 | $85 | 4.8× |
| Antibody Protozoa Nes (86753) range across 3 matching MRF lines |
$131.60–$183.40 | $188–$262 | varies |
| Antibody Titer (86886) range across 2 matching MRF lines |
$151.20–$176.40 | $216–$252 | varies |
| Antibody Treponema Pallidum (86780) | $179.90 | $257 | 13.6× |
| Antibody; encephalitis, st. louis (86653) | $147 | $210 | 11.1× |
| Antibody; influenza virus (86710) | $109.20 | $156 | 8.1× |
| Antigen typing (86905) | $53.90 | $77 | 14.1× |
| Antinomyces antibody (86602) range across 2 matching MRF lines |
$21.70–$37.10 | $31–$53 | varies |
| Antinuclear antibodies (86038) range across 5 matching MRF lines |
$126.70–$130.90 | $181–$187 | varies |
| Antistreptolysin O Screen (86063) | $139.30 | $199 | 24.1× |
| Antistreptolysin o titer (86060) | $100.80 | $144 | 13.8× |
| Antithrombin iii activity (85300) | $108.50 | $155 | 9.2× |
| Antithrombin iii antigen (85301) | $93.10 | $133 | 8.6× |
| Apolipoprotein a1 (82172) range across 3 matching MRF lines |
$44.10–$98 | $63–$140 | varies |
| Arsenic (82175) range across 4 matching MRF lines |
$87.50–$94.50 | $125–$135 | varies |
| Aspergillus ag eia (87305) | $187.60 | $268 | 15.7× |
| Assay activated protein c (85307) | $98.70 | $141 | 6.4× |
| Assay Blood Carbon Dioxide (82374) | $53.90 | $77 | 11.0× |
| Assay Nephelometry Not Spec (83883) range across 7 matching MRF lines |
$49.70–$217.70 | $71–$311 | varies |
| Assay of 5-hiaa (83497) | $150.50 | $215 | 11.7× |
| Assay of blood/uric acid (84550) range across 3 matching MRF lines |
$93.80–$100.10 | $134–$143 | varies |
| Assay of calcium in urine (82340) | $65.80 | $94 | 10.9× |
| Assay of estrone (82679) range across 3 matching MRF lines |
$98–$270.20 | $140–$386 | varies |
| Assay of g6pd enzyme (82955) | $38.50 | $55 | 4.0× |
| Assay of gammaglobulin igm (82784) range across 15 matching MRF lines |
$75.60–$185.50 | $108–$265 | varies |
| Assay of lactic acid (83605) range across 3 matching MRF lines |
$121.10–$129.50 | $173–$185 | varies |
| Assay of manganese (83785) | $47.60 | $68 | 1.8× |
| Assay of metanephrines (83835) | $145.60 | $208 | 8.6× |
| Assay of phosphatase acid total (84060) | $87.50 | $125 | 11.5× |
| Assay of proinsulin (84206) | $235.90 | $337 | 8.8× |
| Assay of pyruvate (84210) | $67.90 | $97 | 4.7× |
| Assay of serotonin (84260) | $172.20 | $246 | 5.6× |
| Assay of serum potassium (84132) range across 5 matching MRF lines |
$38.50–$44.10 | $55–$63 | varies |
| Assay of sweat sodium (84302) | $44.10 | $63 | 9.1× |
| Assay of urea nitrogen (84520) | $51.10 | $73 | 12.9× |
| Assay of urine vma (84585) range across 4 matching MRF lines |
$189–$207.90 | $270–$297 | varies |
| Assay of vasoactive intestinal peptide (84586) | $158.20 | $226 | 4.5× |
| Assay of vitamin b-1 (84425) | $84.70 | $121 | 4.0× |
| Assay Ph Body Fluid Nos (83986) range across 7 matching MRF lines |
$59.50–$63 | $85–$90 | varies |
| Assay spec xcp ur&breath ia (82077) | $275.10 | $393 | 15.9× |
| Atomic Absorption (82190) | $289.80 | $414 | 18.2× |
| Automated Leukocyte Count (85048) | $29.40 | $42 | 11.6× |
| B cells total count (86355) | $105 | $150 | 2.8× |
| Bacterial antigens 87802 (87802) | $48.30 | $69 | 3.8× |
| Bartonella antibody (86611) | $100.80 | $144 | 9.9× |
| Bcr/abl1 gene major bp (81206) range across 2 matching MRF lines |
$369.60–$445.20 | $528–$636 | varies |
| Bcr/abl1 gene minor bp (81207) | $240.10 | $343 | 1.7× |
| Beta 2 glycoprotein i antibody each (86146) range across 6 matching MRF lines |
$225.40–$227.50 | $322–$325 | varies |
| Beta hydroxybutyrate (82010) | $84.70 | $121 | 10.4× |
| Beta Lactamase (87185) | $32.20 | $46 | 6.8× |
| Beta-2 Microglobulin (82232) | $185.50 | $265 | 11.5× |
| Bile acids total (82239) | $64.40 | $92 | 3.8× |
| Bilirubin direct (82248) | $72.10 | $103 | 14.4× |
| Bilirubin total (82247) | $72.80 | $104 | 14.5× |
| Bilirubin total transcutaneous (88720) | $22.40 | $32 | 4.5× |
| Bl Smear W/O Diff Wbc Count (85008) range across 3 matching MRF lines |
$39.90–$44.10 | $57–$63 | varies |
| Blastomyces antibody (86612) range across 2 matching MRF lines |
$61.60–$74.20 | $88–$106 | varies |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $252 | $360 | 1.3× |
| Bld Typing Serologic Rh Phnt (86906) | $198.10 | $283 | 25.6× |
| Blood Count Red Blood Cell Automated (85041) | $9.10 | $13 | 3.0× |
| Blood count reticulocyte automated (85045) range across 2 matching MRF lines |
$70–$74.90 | $100–$107 | varies |
| Blood Count Smear Mcrscp W/Mnl Difrntl Wbc Count (85007) | $42.70 | $61 | 11.2× |
| Blood gas (82803) | $201.60 | $288 | 7.7× |
| Blood gases w/02 saturation (82805) range across 8 matching MRF lines |
$201.60–$212.80 | $288–$304 | varies |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $63 | $90 | 4.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $39.90 | $57 | 9.1× |
| Blood Type Antigen Donor Reagent Serum Each (86902) | $133 | $190 | 20.9× |
| Blood typing serologic abo (86900) | $53.90 | $77 | 18.0× |
| Body fluid cell count (89050) range across 3 matching MRF lines |
$125.30–$167.30 | $179–$239 | varies |
| Bone marrow smear interpretation (85097) | $82.60 | $118 | 0.1× |
| Borrelia Antibody (86619) | $142.80 | $204 | 10.7× |
| Braf gene analysis (81210) | $544.60 | $778 | 3.1× |
| Brucella antibody (86622) | $74.20 | $106 | 8.3× |
| C diff amplified probe (87493) | $211.40 | $302 | 5.7× |
| C-Peptide (84681) | $154.70 | $221 | 7.4× |
| C-reactive protein (86140) | $131.60 | $188 | 25.4× |
| Ca 19-9 (86301) | $210.70 | $301 | 10.1× |
| Cadmium (82300) | $130.90 | $187 | 5.5× |
| Caffeine (80155) | $86.10 | $123 | 2.2× |
| Calcitonin (82308) | $142.80 | $204 | 5.3× |
| Calcium ionized (82330) range across 2 matching MRF lines |
$122.50–$130.90 | $175–$187 | varies |
| Calcium total (82310) | $79.80 | $114 | 15.5× |
| Calculus Spectroscopy (82365) | $111.30 | $159 | 8.6× |
| Calprotectin Fecal (83993) | $201.60 | $288 | 10.3× |
| Calr gene com variants (81219) range across 3 matching MRF lines |
$289.10–$872.90 | $413–$1,247 | varies |
| Cancer Antigen 125 (86304) | $266 | $380 | 12.8× |
| Cancer Antigen 27.29 (86300) | $210.70 | $301 | 10.1× |
| Candida Dna Dir Probe (87480) | $126.70 | $181 | 6.3× |
| Carbamazepine total (80156) range across 3 matching MRF lines |
$247.80–$259 | $354–$370 | varies |
| Carboxyhemoglobin (82375) | $118.30 | $169 | 9.6× |
| Carcinoembryonic antigen (82378) range across 4 matching MRF lines |
$131.60–$142.80 | $188–$204 | varies |
| Cardiolipin ab iga (86147) | $233.80 | $334 | 9.2× |
| Carnitine Quantitative Each Specimen (82379) range across 3 matching MRF lines |
$112.70–$130.90 | $161–$187 | varies |
| Carotene (82380) | $114.10 | $163 | 12.4× |
| Catecholamines fractionated (82384) range across 4 matching MRF lines |
$224–$261.10 | $320–$373 | varies |
| Ccp antibody (86200) | $49 | $70 | 3.8× |
| Cebpa Gene Analysis Full Gene Sequence (81218) | $760.90 | $1,087 | 3.1× |
| Cell count csf (89051) range across 4 matching MRF lines |
$160.30–$167.30 | $229–$239 | varies |
| Ceruloplasmin (82390) | $112 | $160 | 10.4× |
| Cftr gene com variants (81220) | $924 | $1,320 | 1.7× |
| Chemiluminescent assay (82397) range across 5 matching MRF lines |
$67.90–$129.50 | $97–$185 | varies |
| Chlamydia antibody (86631) | $62.30 | $89 | 5.3× |
| Chlamydia Igm Antibody (86632) | $62.30 | $89 | 4.9× |
| Chloramphenicol level (82415) | $105 | $150 | 8.3× |
| Chloride other source (82438) range across 5 matching MRF lines |
$19.60–$49 | $28–$70 | varies |
| Chloride Serum (82435) | $31.50 | $45 | 6.8× |
| Chloride urine (82436) range across 5 matching MRF lines |
$52.50–$56 | $75–$80 | varies |
| Cholesterol total (82465) range across 2 matching MRF lines |
$41.30–$70 | $59–$100 | varies |
| Chorionic gonadotropin test (84702) range across 5 matching MRF lines |
$37.80–$193.90 | $54–$277 | varies |
| Chrmsm Alys Amniotic/Villus 15 Cell 1karyotype (88267) | $744.80 | $1,064 | 3.9× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $96.60 | $138 | 3.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) range across 3 matching MRF lines |
$85.40–$104.30 | $122–$149 | varies |
| Chrmsm Analysis Addl Specialized Banding (88283) | $100.10 | $143 | 1.5× |
| Chromium serum (82495) range across 7 matching MRF lines |
$47.60–$77.70 | $68–$111 | varies |
| Chromogenic Substrate Assay (85130) range across 2 matching MRF lines |
$140.70–$150.50 | $201–$215 | varies |
| Chromogranin a (86316) range across 2 matching MRF lines |
$164.50–$203 | $235–$290 | varies |
| Chromosome Analysis 15-20 (88262) | $596.40 | $852 | 4.8× |
| Chromosome Analysis 20-25 (88264) | $546 | $780 | 3.8× |
| Chromosome analysis 45 cells (88263) | $751.80 | $1,074 | 5.0× |
| Chromosome analysis, 5 (88261) | $886.90 | $1,267 | 3.4× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 6 matching MRF lines |
$66.50–$217 | $95–$310 | varies |
| Citric acid urine (82507) | $79.10 | $113 | 2.8× |
| Ckmb (82553) | $141.40 | $202 | 12.2× |
| Clostridium Difficile (87324) range across 2 matching MRF lines |
$208.60–$219.10 | $298–$313 | varies |
| Clotting factor xii hageman (85280) | $51.10 | $73 | 2.6× |
| Clotting Funct Activity (85397) | $217 | $310 | 7.0× |
| Cns DNA amp probe type 12-25 (87483) | $3,261.30 | $4,659 | 7.8× |
| Coagulation time activated (85347) range across 3 matching MRF lines |
$84–$89.60 | $120–$128 | varies |
| Coccidioides antibody (86635) range across 7 matching MRF lines |
$36.40–$96.60 | $52–$138 | varies |
| Cold agglutinin titer (86157) | $193.20 | $276 | 24.0× |
| Collagen crosslinks (82523) range across 3 matching MRF lines |
$93.80–$194.60 | $134–$278 | varies |
| Column Chromotography Quant (82542) range across 7 matching MRF lines |
$116.90–$307.30 | $167–$439 | varies |
| Compatibility test antiglob (86922) | $133 | $190 | 0.7× |
| Complement Antigen Each Component (86160) range across 9 matching MRF lines |
$44.80–$263.90 | $64–$377 | varies |
| Complement Total (Ch50) (86162) | $197.40 | $282 | 9.7× |
| Complement/Function Activity (86161) | $150.50 | $215 | 12.5× |
| Consltj&Reprt Material Requiring Prepj Slides (88323) | $391.30 | $559 | 6.7× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $306.60 | $438 | 7.4× |
| Coombs direct (86880) | $53.90 | $77 | 10.0× |
| Copper urine (82525) | $97.30 | $139 | 7.8× |
| Cortisol free (82530) range across 3 matching MRF lines |
$70–$194.60 | $100–$278 | varies |
| Cortisol saliva (82533) range across 8 matching MRF lines |
$165.20–$177.10 | $236–$253 | varies |
| Creatine kinase total (82550) | $67.90 | $97 | 10.4× |
| Creatinine blood (82565) | $65.10 | $93 | 12.7× |
| Creatinine clearance (82575) | $167.30 | $239 | 17.7× |
| Creatinine Urine (82570) range across 11 matching MRF lines |
$65.80–$88.20 | $94–$126 | varies |
| Crossmatch electronic (86923) | $133 | $190 | 0.7× |
| Crossmatch immediate spin (86920) | $133 | $190 | 0.7× |
| Crp High Sensitivity (86141) | $85.40 | $122 | 6.6× |
| Cryofibrinogen (82585) | $84 | $120 | 5.9× |
| Cryoglobulin (82595) | $64.40 | $92 | 10.0× |
| Cryptococcal Antigen (87327) | $208.60 | $298 | 15.5× |
| Cryptococcus ab (86641) | $126.70 | $181 | 8.8× |
| Cryptococcus ag titer (87899) range across 4 matching MRF lines |
$58.10–$154.70 | $83–$221 | varies |
| Cryptosporidium ag eia (87328) range across 2 matching MRF lines |
$133–$161 | $190–$230 | varies |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $130.20 | $186 | 16.1× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $173.60 | $248 | 21.5× |
| Cul fngi mold/yeast prsmptv id skn hair/nail (87101) range across 3 matching MRF lines |
$167.30–$201.60 | $239–$288 | varies |
| Cul Typ ID Bld Pthgn 6+ Trgt (87154) | $965.30 | $1,379 | 4.4× |
| Culture afb (87116) | $170.80 | $244 | 15.8× |
| Culture Anaerobic (87075) range across 3 matching MRF lines |
$144.20–$173.60 | $206–$248 | varies |
| Culture blood (87040) | $294 | $420 | 28.5× |
| Culture chlamydia (87110) | $143.50 | $205 | 7.3× |
| Culture csf (87070) range across 17 matching MRF lines |
$133–$289.10 | $190–$413 | varies |
| Culture fungus (87102) range across 4 matching MRF lines |
$135.80–$173.60 | $194–$248 | varies |
| Culture fungus blood (87103) | $271.60 | $388 | 13.3× |
| Culture screen only (87081) range across 14 matching MRF lines |
$76.30–$152.60 | $109–$218 | varies |
| Culture stool (87045) | $231 | $330 | 24.5× |
| Culture Typing Gas/High Pres Liq Chromatography (87143) | $202.30 | $289 | 16.2× |
| Culture typing if ea antiserum (87140) | $100.80 | $144 | 18.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) range across 3 matching MRF lines |
$27.30–$33.60 | $39–$48 | varies |
| Culture urine (87086) | $112.70 | $161 | 14.0× |
| Cyanide (82600) | $126 | $180 | 6.5× |
| Cyclosporine (80158) | $224.70 | $321 | 12.4× |
| Cystatin C (82610) | $74.90 | $107 | 4.0× |
| Cytogenetics 100-300 (88275) | $210.70 | $301 | 4.1× |
| Cytogenom Const Microarray Copy Number&Snp Var (81229) range across 3 matching MRF lines |
$1,169–$2,117.50 | $1,670–$3,025 | varies |
| Cytomegalovirus igg (86644) range across 5 matching MRF lines |
$158.20–$162.40 | $226–$232 | varies |
| Cytopath C/V Index Add-On (88155) | $45.50 | $65 | 3.1× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) range across 3 matching MRF lines |
$64.40–$77 | $92–$110 | varies |
| Cytopath Cell Enhance Tech (88112) | $119.70 | $171 | 2.1× |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) | $126.70 | $181 | 2.5× |
| Cytotoxic Antibody Screen Std (86807) | $314.30 | $449 | 4.0× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) range across 4 matching MRF lines |
$39.90–$48.30 | $57–$69 | varies |
| Cytp Concentration Smears & Interpretation (88108) | $67.20 | $96 | 1.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $119.70 | $171 | 2.1× |
| Cytp fine ndl aspirate immt cytohist std dx 1st (88172) | $67.20 | $96 | 0.4× |
| Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj (88104) range across 3 matching MRF lines |
$53.20–$175.70 | $76–$251 | varies |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $441 | $630 | 2.3× |
| Cytp Slides Cerv/Vag Mnl Scrn Physician Supv (88164) range across 3 matching MRF lines |
$37.80–$46.90 | $54–$67 | varies |
| Cytp smrs any oth src extnd std > 5 slides (88162) | $64.40 | $92 | 1.1× |
| Cytp Smrs Any Oth Src Scr&Interpj (88160) | $86.80 | $124 | 2.7× |
| Deoxyribonuclease antibody (86215) | $71.40 | $102 | 5.4× |
| Detect Agent Nos Dna Amp (87798) range across 17 matching MRF lines |
$93.10–$756 | $133–$1,080 | varies |
| Detect Agent Nos Dna Quant (87799) range across 9 matching MRF lines |
$248.50–$443.80 | $355–$634 | varies |
| Detect agnt mult DNA ampli (87801) range across 3 matching MRF lines |
$334.60–$457.10 | $478–$653 | varies |
| Dgp Antibody Each Ig Class (86258) | $42 | $60 | 3.5× |
| Dhea (82626) | $105.70 | $151 | 4.2× |
| Dhea-S (82627) | $129.50 | $185 | 5.8× |
| Digoxin (80162) | $162.40 | $232 | 12.2× |
| Diphtheria antitoxoid (86648) | $95.90 | $137 | 6.3× |
| Dna Antibody Native/Double Stranded (86225) range across 7 matching MRF lines |
$12.60–$180.60 | $18–$258 | varies |
| Dna Antibody Single Stranded (86226) | $201.60 | $288 | 16.6× |
| Dna/Rna Amplified Probe (87150) | $39.20 | $56 | 1.1× |
| DNA/RNA direct probe (87149) | $211.40 | $302 | 10.5× |
| Drug assay acetaminophen (80143) | $338.80 | $484 | 18.2× |
| Drug assay adalimumab (80145) | $151.20 | $216 | 3.9× |
| Drug Assay Everolimus (80169) | $163.10 | $233 | 11.9× |
| Drug Assay Infliximab (80230) range across 2 matching MRF lines |
$168–$259 | $240–$370 | varies |
| Drug Assay Lacosamide (80235) | $66.50 | $95 | 2.5× |
| Drug Assay Leflunomide (80193) | $225.40 | $322 | 5.8× |
| Drug Screen Quant Clozapine (80159) | $295.40 | $422 | 14.7× |
| Drug Screen Quant Zonisamide (80203) | $210.70 | $301 | 15.9× |
| Drug Screen Quantitative Gabapentin (80171) | $163.10 | $233 | 7.5× |
| Drug Screen Quantitative Lamotrigine (80175) | $120.40 | $172 | 9.1× |
| Drug Screen Quantitative Levetiracetam (80177) | $214.20 | $306 | 16.2× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $205.80 | $294 | 15.5× |
| Drug Screen Quantitative Procainamide Metabolite (80192) | $192.50 | $275 | 11.5× |
| Drug Screen Quantitative Tiagabine (80199) | $252.70 | $361 | 9.3× |
| Drug Test Prsmv Chem Anlyzr (80307) range across 18 matching MRF lines |
$102.20–$322 | $146–$460 | varies |
| Drug Test Prsmv Instrmnt (80306) | $61.60 | $88 | 3.6× |
| Egfr Gene Analysis Common Variants (81235) | $515.20 | $736 | 1.6× |
| Ehrlichia antibody (86666) | $46.90 | $67 | 4.6× |
| El-1 Fecal Quantitative (82653) | $189.70 | $271 | 8.3× |
| Electrolyte panel (80051) | $61.60 | $88 | 8.8× |
| Electron Microscopy (88348) range across 2 matching MRF lines |
$578.90–$771.40 | $827–$1,102 | varies |
| Encephaltis East Eqne Anbdy (86652) | $147 | $210 | 11.1× |
| Endomysial Antibody Each Immunoglobulin Class (86231) range across 2 matching MRF lines |
$43.40–$46.90 | $62–$67 | varies |
| Enterovirus Antibody (86658) range across 5 matching MRF lines |
$76.30–$289.10 | $109–$413 | varies |
| Enterovirus PCR (87498) range across 3 matching MRF lines |
$93.10–$1,023.40 | $133–$1,462 | varies |
| Enzyme cell activity (82657) range across 8 matching MRF lines |
$65.80–$250.60 | $94–$358 | varies |
| Enzyme histochemistry (88319) | $580.30 | $829 | 0.6× |
| Eosinophil Smear (89190) | $88.90 | $127 | 15.4× |
| Erythropoietin (82668) range across 2 matching MRF lines |
$147.70–$183.40 | $211–$262 | varies |
| Estradiol serum (82670) | $224.70 | $321 | 8.0× |
| Estriol (82677) range across 2 matching MRF lines |
$60.90–$142.80 | $87–$204 | varies |
| Estrogen total (82672) range across 2 matching MRF lines |
$45.50–$137.90 | $65–$197 | varies |
| Ethosuximide (80168) | $112 | $160 | 6.9× |
| Ethylene Glycol (82693) | $98 | $140 | 6.6× |
| Euglobulin lysis (85360) | $61.60 | $88 | 7.3× |
| Exam Synovial Fluid Crystals (89060) range across 4 matching MRF lines |
$104.30–$116.90 | $149–$167 | varies |
| F2 Gene (81240) range across 3 matching MRF lines |
$158.20–$273 | $226–$390 | varies |
| Factor ii activity (85210) | $151.90 | $217 | 11.7× |
| Factor Inhibitor Test (85335) range across 4 matching MRF lines |
$119.70–$120.40 | $171–$172 | varies |
| Factor ix activity (85250) | $147.70 | $211 | 7.8× |
| Factor v activity (85220) | $146.30 | $209 | 8.3× |
| Factor v leiden mutation (81241) range across 2 matching MRF lines |
$68.60–$120.40 | $98–$172 | varies |
| Factor vii assay (85230) | $214.20 | $306 | 12.0× |
| Factor viii assay (85240) | $154 | $220 | 8.6× |
| Factor X (85260) | $141.40 | $202 | 7.9× |
| Factor xi activity (85270) | $221.20 | $316 | 12.4× |
| Factor xiii screen (85291) | $72.10 | $103 | 7.9× |
| Fat stain feces urine/respir secretions (89125) | $51.80 | $74 | 8.8× |
| Fat/Lipids Feces Quantitative (82710) | $195.30 | $279 | 11.6× |
| Fbrnlyc factors&inhibitrs plsmng xcpt agic ass (85420) | $17.50 | $25 | 2.7× |
| Fecal Fat Qualitative (82705) | $78.40 | $112 | 15.4× |
| Ferritin (82728) | $123.90 | $177 | 9.1× |
| Fetal Chrmoml Aneuploidy (81420) | $470.40 | $672 | 0.6× |
| Fetal Fibronectin (82731) | $455.70 | $651 | 7.1× |
| Fetal hemoglobin assay qual (83033) | $207.90 | $297 | 26.0× |
| Fetal screen rosette (85461) | $27.30 | $39 | 2.9× |
| Fibrin degradation products (85362) | $113.40 | $162 | 16.5× |
| Fibrin Degradation Quant (85379) | $97.30 | $139 | 9.6× |
| Fibrinogen activity (85384) range across 3 matching MRF lines |
$144.90–$154.70 | $207–$221 | varies |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $37.80 | $54 | 2.4× |
| Flow cytometry first marker (88184) | $119.70 | $171 | 0.3× |
| Flt3 Gene (81245) | $963.20 | $1,376 | 5.8× |
| Fluorescent antibody screen (86255) range across 15 matching MRF lines |
$46.90–$953.40 | $67–$1,362 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) range across 3 matching MRF lines |
$56–$277.20 | $80–$396 | varies |
| Folic acid rbc (82747) range across 3 matching MRF lines |
$165.20–$177.10 | $236–$253 | varies |
| Folic Acid Serum (82746) | $115.50 | $165 | 7.9× |
| Follicle Stimulating Hormone (83001) | $147.70 | $211 | 7.9× |
| Francisella tularensis (86668) | $74.90 | $107 | 5.3× |
| Fresh Frozen Plasma Thawing Each Unit (86927) | $225.40 | $322 | 1.2× |
| Frozen Section (88331) | $119.70 | $171 | 0.6× |
| Fungi Identification Mold (87107) | $156.10 | $223 | 15.1× |
| Fungi Identification Yeast (87106) range across 2 matching MRF lines |
$129.50–$156.10 | $185–$223 | varies |
| Galactose transferase test (82776) | $22.40 | $32 | 1.9× |
| Gammaglobulin ige (82785) range across 7 matching MRF lines |
$61.60–$67.90 | $88–$97 | varies |
| Gardner vag DNA dir probe (87510) | $126.70 | $181 | 6.3× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $78.40 | $112 | 8.0× |
| Gases blood ph only (82800) range across 2 matching MRF lines |
$75.60–$212.80 | $108–$304 | varies |
| Gastric Analy W/Ph Ea Spec (82930) | $71.40 | $102 | 10.6× |
| Gastrin (82941) | $186.20 | $266 | 10.6× |
| Genet Virus Isolate Hsv (87255) | $168 | $240 | 5.0× |
| Gentamicin (80170) | $191.80 | $274 | 11.7× |
| Ggt (82977) | $156.80 | $224 | 21.8× |
| Giardia antigen (87329) | $173.60 | $248 | 14.5× |
| Gluc-6-phosphate dehydrogenase screen (82960) | $220.50 | $315 | 36.4× |
| Glucose 2 hr pp (82950) | $47.60 | $68 | 10.0× |
| Glucose Blood Test (82962) | $49 | $70 | 14.9× |
| Glucose body fluid (82945) range across 5 matching MRF lines |
$43.40–$85.40 | $62–$122 | varies |
| Glucose Serum (82947) range across 7 matching MRF lines |
$65.80–$85.40 | $94–$122 | varies |
| Glucose tolerance test (gtt) (82951) | $47.60 | $68 | 3.7× |
| Glycated Protein (82985) range across 3 matching MRF lines |
$56–$126 | $80–$180 | varies |
| Gonadotropin Chorionic Qualitative (84703) | $145.60 | $208 | 19.4× |
| Growth hormone (83003) range across 3 matching MRF lines |
$92.40–$98.70 | $132–$141 | varies |
| Gtt-added samples (82952) | $65.80 | $94 | 16.8× |
| H Pylori (C-13) Breath (83013) | $260.40 | $372 | 3.9× |
| H Pylori Drug Admin (83014) | $18.20 | $26 | 2.3× |
| Haloperidol (80173) | $87.50 | $125 | 5.5× |
| Haptoglobin (83010) | $130.90 | $187 | 10.4× |
| Hdl Cholesterol (83718) | $53.90 | $77 | 6.6× |
| Helicobacter Pylori Stool (87338) | $139.30 | $199 | 9.7× |
| Helminth Antibody (86682) range across 2 matching MRF lines |
$60.20–$200.20 | $86–$286 | varies |
| Hematocrit (85014) range across 6 matching MRF lines |
$27.30–$29.40 | $39–$42 | varies |
| Hemoglobin (85018) range across 6 matching MRF lines |
$28–$30.10 | $40–$43 | varies |
| Hemoglobin a1c (83036) | $114.10 | $163 | 11.8× |
| Hemoglobin Chromotography (83021) | $75.60 | $108 | 4.2× |
| Hemoglobin electrophoresis (83020) range across 3 matching MRF lines |
$22.40–$79.80 | $32–$114 | varies |
| Hemoglobin Methemoglobin Quantitative (83050) | $29.40 | $42 | 3.6× |
| Hemoglobin plasma (83051) | $121.80 | $174 | 16.7× |
| Hemoglobin stability screen (83068) | $172.90 | $247 | 18.3× |
| Hemolysin Acid (85475) | $41.30 | $59 | 4.7× |
| Hemolysins&Agglutinins Auto Screen Each (86940) | $22.40 | $32 | 2.6× |
| Hemosiderin urine (83070) | $46.90 | $67 | 9.9× |
| Hep a ab igm (86709) | $150.50 | $215 | 13.4× |
| Heparin assay (85520) | $110.60 | $158 | 8.4× |
| Heparin Neutralization (85525) | $54.60 | $78 | 4.6× |
| Hepatitis a antibody total (86708) | $130.90 | $187 | 10.6× |
| Hepatitis b core ab igm (86705) | $150.50 | $215 | 12.8× |
| Hepatitis b core ab total (86704) | $121.10 | $173 | 10.0× |
| Hepatitis B Surface Antibody (86706) range across 3 matching MRF lines |
$176.40–$211.40 | $252–$302 | varies |
| Hepatitis B Surface Antigen (87340) range across 3 matching MRF lines |
$246.40–$283.50 | $352–$405 | varies |
| Hepatitis Be Antibody (86707) | $72.10 | $103 | 6.2× |
| Hepatitis Be Antigen (87350) | $145.60 | $208 | 12.6× |
| Hepatitis C Antibody (86803) | $155.40 | $222 | 10.9× |
| Hepatitis c antibody confirmatory test (86804) range across 2 matching MRF lines |
$298.20–$418.60 | $426–$598 | varies |
| Hepatitis C Genotype (87902) | $1,540.70 | $2,201 | 6.0× |
| Hepatitis C Revrs Trnscrpj (87522) range across 6 matching MRF lines |
$353.50–$425.60 | $505–$608 | varies |
| Hepatitis delta ag (87380) | $221.90 | $317 | 12.1× |
| Herpes simplex type 2 (86696) | $109.20 | $156 | 5.6× |
| Heterophile Antibody Screen (86308) | $106.40 | $152 | 20.5× |
| Hfe Gene (81256) | $339.50 | $485 | 5.2× |
| Hgb/Rbcs Fetal Fetomaternal Hemrrg Difrntl Lysis (85460) | $116.90 | $167 | 15.1× |
| Histamine urine (83088) range across 2 matching MRF lines |
$50.40–$60.20 | $72–$86 | varies |
| Histoplasma antibody (86698) range across 2 matching MRF lines |
$34.30–$85.40 | $49–$122 | varies |
| Histoplasma antigen urine (87385) | $66.50 | $95 | 5.0× |
| Hiv Antigen W/Hiv Antibodies (87806) | $149.80 | $214 | 4.6× |
| Hiv Genotype (87901) | $477.40 | $682 | 1.9× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) range across 2 matching MRF lines |
$124.60–$149.80 | $178–$214 | varies |
| Hiv-1 Antibody (86701) | $46.90 | $67 | 5.3× |
| HIV-1 p24 antigen (87390) | $111.30 | $159 | 4.6× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $715.40 | $1,022 | 8.4× |
| Hla class ii high defin qual (86833) | $1,180.90 | $1,687 | 3.6× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $387.10 | $553 | 5.2× |
| Hla Typing a/B/C Multiple Antigens (86813) | $616 | $880 | 10.6× |
| Hla-b27 (86812) | $427.70 | $611 | 16.6× |
| Homocysteine (83090) | $128.80 | $184 | 7.2× |
| Homogenization Tissue (87176) range across 2 matching MRF lines |
$28–$33.60 | $40–$48 | varies |
| Homovanillic acid urine (83150) range across 2 matching MRF lines |
$64.40–$71.40 | $92–$102 | varies |
| Hpv High-Risk Types (87624) range across 3 matching MRF lines |
$168–$219.10 | $240–$313 | varies |
| Hpv Types 16 & 18 Only (87625) | $219.10 | $313 | 5.4× |
| Hsv Dna Amp Probe (87529) range across 4 matching MRF lines |
$93.10–$296.80 | $133–$424 | varies |
| Hydroxyprogesterone 17-d (83498) | $350 | $500 | 12.9× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $132.30 | $189 | 12.8× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $269.50 | $385 | 19.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $226.10 | $323 | 6.4× |
| Iaad Ia Streptococcus Group A (87430) | $119 | $170 | 7.1× |
| Iaadi Bordetella Prtussis/Paraprtussis (87265) | $281.40 | $402 | 23.5× |
| Iaadi parainfluenza virus each type (87279) | $226.10 | $323 | 13.8× |
| Iaadi pneumocustis carinii (87281) range across 2 matching MRF lines |
$246.40–$261.80 | $352–$374 | varies |
| Iaadi Polyv Mlt Organisms Ea Polyv Antiserum (87300) | $123.20 | $176 | 10.3× |
| Iaadi respiratory synctial virus (87280) | $271.60 | $388 | 20.2× |
| Iaadi Varicella Zoster Virus (87290) | $88.20 | $126 | 6.6× |
| Iadna Borrelia Burgdorferi Amplified Probe Tq (87476) | $478.10 | $683 | 13.6× |
| Iadna Candida Species Amplified Probe Tq (87481) | $114.80 | $164 | 3.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) range across 4 matching MRF lines |
$536.20–$644.70 | $766–$921 | varies |
| Iadna Cytomegalovirus Amplified Probe Tq (87496) range across 4 matching MRF lines |
$344.40–$364 | $492–$520 | varies |
| Iadna Cytomegalovirus Quantification (87497) | $334.60 | $478 | 7.8× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $481.60 | $688 | 6.9× |
| Iadna Hepatitis B Virus Quantification (87517) | $420.70 | $601 | 9.8× |
| Iadna Herpes Virus-6 Amplified Probe Tq (87532) | $93.10 | $133 | 2.7× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) range across 4 matching MRF lines |
$69.30–$82.60 | $99–$118 | varies |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) range across 6 matching MRF lines |
$55.30–$217 | $79–$310 | varies |
| Iadna Orthopoxvirus Amplified Probe Technique Ea (87593) | $128.10 | $183 | 2.5× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) range across 2 matching MRF lines |
$434.70–$674.10 | $621–$963 | varies |
| Ig Light Chains Free Each (83521) | $43.40 | $62 | 2.5× |
| Igg subclasses (82787) | $32.90 | $47 | 4.1× |
| Igh gene rearrange amp meth (81261) range across 2 matching MRF lines |
$315–$604.80 | $450–$864 | varies |
| Igk rearrangeabn clonal pop (81264) | $326.90 | $467 | 1.9× |
| Imhistochem/Cytchm Ea Multiplex Antibody Slide (88344) | $303.10 | $433 | 0.8× |
| Immune Complex Assay (86332) | $79.80 | $114 | 3.3× |
| Immunfix e-phorsis/urine/csf (86335) range across 5 matching MRF lines |
$206.50–$207.20 | $295–$296 | varies |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 21 matching MRF lines |
$38.50–$693 | $55–$990 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) range across 8 matching MRF lines |
$20.30–$211.40 | $29–$302 | varies |
| Immunoassay nonantibody (83516) range across 19 matching MRF lines |
$9.10–$364 | $13–$520 | varies |
| Immunodiffusion Ouchterlony (86331) range across 5 matching MRF lines |
$25.20–$116.90 | $36–$167 | varies |
| Immunofixation electrophoresis (86334) | $381.50 | $545 | 17.1× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $119.70 | $171 | 0.6× |
| Immunohistochemistry (88342) | $136.50 | $195 | 0.7× |
| In situ hybridization 1st probe stain (88365) | $119.70 | $171 | 0.6× |
| Infectious agent antigen detection by immunofluorescent technique; adenovirus (87260) | $230.30 | $329 | 16.0× |
| Infectious agent antigen detection by immunofluorescent technique; influenza b virus (87275) | $96.60 | $138 | 7.9× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $118.30 | $169 | 3.4× |
| Influenza a/b ag eia (87400) | $108.50 | $155 | 7.7× |
| Influenza assay w/optic (87804) | $108.50 | $155 | 6.6× |
| Influenza DNA amp probe (87502) | $595.70 | $851 | 6.2× |
| Inhibin A (86336) | $56 | $80 | 3.6× |
| Inhibin b (83520) range across 15 matching MRF lines |
$28–$385 | $40–$550 | varies |
| Insitu hybridization manual (88368) | $303.10 | $433 | 0.8× |
| Insulin antibodies (86337) range across 2 matching MRF lines |
$138.60–$200.20 | $198–$286 | varies |
| Insulin free (83527) range across 2 matching MRF lines |
$27.30–$29.40 | $39–$42 | varies |
| Insulin total (83525) | $113.40 | $162 | 9.9× |
| Intrinsic factor antibody (86340) | $72.10 | $103 | 4.8× |
| Iron (83540) | $68.60 | $98 | 10.6× |
| Iron Binding Capacity (83550) | $70 | $100 | 8.0× |
| Iron stain peripheral blood (85536) | $29.40 | $42 | 4.3× |
| Islet cell antibody (86341) range across 6 matching MRF lines |
$79.80–$261.80 | $114–$374 | varies |
| Jak2 gene analysis p.val617phe variant (81270) range across 3 matching MRF lines |
$151.20–$314.30 | $216–$449 | varies |
| Jak2 Gene Trgt Sequence Alys (81279) range across 2 matching MRF lines |
$332.50–$373.10 | $475–$533 | varies |
| Ketosteroids 17 total (83586) | $105 | $150 | 8.2× |
| Koh Prep (87220) range across 3 matching MRF lines |
$119–$154.70 | $170–$221 | varies |
| Kras Gene Variants Exon 2 (81275) | $554.40 | $792 | 2.9× |
| L/s ratio (83661) | $54.60 | $78 | 2.5× |
| Lactate (ld) (ldh) enzyme (83615) range across 7 matching MRF lines |
$63–$67.90 | $90–$97 | varies |
| Lactoferrin fecal qualitative (83630) | $104.30 | $149 | 5.3× |
| Lactoferrin Fecal Quantitative (83631) | $104.30 | $149 | 5.3× |
| Lamellar Body Count (83664) | $76.30 | $109 | 3.9× |
| Ldh Isoenzymes (83625) | $151.20 | $216 | 11.8× |
| LDL direct (83721) | $85.40 | $122 | 8.1× |
| Lead (83655) range across 6 matching MRF lines |
$128.10–$136.50 | $183–$195 | varies |
| Legionella antibody (86713) | $158.20 | $226 | 10.3× |
| Legionella antigen urine (87449) range across 3 matching MRF lines |
$124.60–$275.10 | $178–$393 | varies |
| Legionella pneumophila dfa (87278) range across 2 matching MRF lines |
$205.10–$246.40 | $293–$352 | varies |
| Leptospira antibody (86720) | $151.20 | $216 | 9.3× |
| Leukocyte Assessment Fecal (89055) | $46.90 | $67 | 11.0× |
| Level I Surg Pathology Gross Examination Only (88300) | $67.20 | $96 | 2.1× |
| Level ii surg pathology grossµscopic exam (88302) | $67.20 | $96 | 1.6× |
| Level V Surg Pathology Gross&Microscopic Exam (88307) | $200.20 | $286 | 0.5× |
| Lidocaine (80176) | $125.30 | $179 | 8.5× |
| Lipase (83690) | $129.50 | $185 | 18.8× |
| Lipoprotein A (83695) | $167.30 | $239 | 11.7× |
| Lipoprotein Bld Quan Part (83704) | $122.50 | $175 | 3.6× |
| Lipoprotein Blood Electrophorectic Sep&Quan (83700) | $46.20 | $66 | 4.1× |
| Lipoprotein-Associated Phospholipase A2 (83698) | $185.50 | $265 | 4.0× |
| Lithium (80178) | $110.60 | $158 | 16.7× |
| Luteinizing Hormone (Lh) (83002) | $112 | $160 | 6.0× |
| Lyme disease antibody (86618) | $222.60 | $318 | 13.1× |
| Lymphocyte transformation (86353) | $257.60 | $368 | 5.3× |
| Lysozyme serum (85549) | $39.90 | $57 | 2.1× |
| M/Phmtrc Alys Ish Quant/Semiq Mnl Each Multiprb (88377) | $324.80 | $464 | 1.7× |
| M/phmtrc alys ishquant/semiq (88374) | $441 | $630 | 2.3× |
| Macroscopic exam arthropod (87168) | $96.60 | $138 | 22.6× |
| Macroscopic Exam Parasite (87169) | $67.90 | $97 | 15.8× |
| Magnesium Urine (83735) range across 5 matching MRF lines |
$53.90–$56.70 | $77–$81 | varies |
| Mercury urine (83825) range across 4 matching MRF lines |
$93.80–$100.80 | $134–$144 | varies |
| Methotrexate (80204) | $144.90 | $207 | 3.8× |
| Methylmalonic acid serum (83921) | $160.30 | $229 | 7.6× |
| Microalbumin, quantitative (82043) | $92.40 | $132 | 16.0× |
| Microbe Suscept Macrobroth (87188) | $86.10 | $123 | 13.0× |
| Microsomal Antibodies Each (86376) range across 5 matching MRF lines |
$88.90–$120.40 | $127–$172 | varies |
| Mitochondrial Antibody Each (86381) | $92.40 | $132 | 3.6× |
| Molecular Cytogenetics Dna Probe Each (88271) | $205.10 | $293 | 9.6× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) range across 2 matching MRF lines |
$170.80–$210.70 | $244–$301 | varies |
| Mopath procedure level 2 (81401) | $263.90 | $377 | 1.9× |
| Mpl gene common variants (81338) range across 2 matching MRF lines |
$289.10–$373.10 | $413–$533 | varies |
| Mrsa Pcr (87641) | $247.10 | $353 | 7.0× |
| Mthfr Gene Analysis Common Variants (81291) | $217 | $310 | 3.3× |
| Mucin Clot Body Fluid (83872) | $63 | $90 | 10.8× |
| Mumps antibody (86735) | $55.30 | $79 | 4.2× |
| Mycobacteric Identification (87118) range across 4 matching MRF lines |
$238–$286.30 | $340–$409 | varies |
| Mycophenolic Acid (80180) | $354.20 | $506 | 19.6× |
| Mycoplasma antibody (86738) | $76.30 | $109 | 5.8× |
| Mycoplasma culture (87109) | $213.50 | $305 | 13.9× |
| Myelin basic protein csf (83873) | $112 | $160 | 6.5× |
| Myoglobin urine (83874) range across 7 matching MRF lines |
$51.10–$118.30 | $73–$169 | varies |
| Natriuretic peptide (83880) range across 3 matching MRF lines |
$222.60–$238 | $318–$340 | varies |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $527.10 | $753 | 4.1× |
| Nfct ds chrnc hcv 6 assays (81596) range across 4 matching MRF lines |
$276.50–$331.80 | $395–$474 | varies |
| Nk cells total count (86357) | $175.70 | $251 | 4.7× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $478.10 | $683 | 1.9× |
| Nuclear antigen antibody (86235) range across 20 matching MRF lines |
$16.80–$217.70 | $24–$311 | varies |
| Occult blood feces (82272) | $38.50 | $55 | 9.1× |
| Occult Blood Other Sources (82271) | $40.60 | $58 | 7.6× |
| Oligoclonal bands (83916) | $154.70 | $221 | 5.6× |
| Organic Acids Qualitative Each Specimen (83919) | $126.70 | $181 | 7.7× |
| Organic acids urine (83918) range across 2 matching MRF lines |
$71.40–$218.40 | $102–$312 | varies |
| Osmolality serum (83930) | $84 | $120 | 12.7× |
| Osmolality Urine (83935) | $84 | $120 | 12.3× |
| Ova and parasites smears (87177) range across 2 matching MRF lines |
$177.10–$191.10 | $253–$273 | varies |
| Oxalate urine (83945) | $98 | $140 | 6.8× |
| Particle Agglutination Screen Each Antibody (86403) range across 4 matching MRF lines |
$141.40–$169.40 | $202–$242 | varies |
| Parvovirus antibody (86747) | $200.20 | $286 | 13.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $119.70 | $171 | 0.1× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) range across 3 matching MRF lines |
$112.70–$211.40 | $161–$302 | varies |
| Ph urine (81003) range across 9 matching MRF lines |
$49.70–$56.70 | $71–$81 | varies |
| Phenobarbital Level (80184) | $176.40 | $252 | 11.5× |
| Phenotype Infect Agent Drug (87900) | $180.60 | $258 | 1.4× |
| Phenylalanine (84030) range across 2 matching MRF lines |
$22.40–$235.20 | $32–$336 | varies |
| Phenytoin (Dilantin) (80185) range across 2 matching MRF lines |
$70–$182 | $100–$260 | varies |
| Phenytoin free (80186) | $70 | $100 | 5.1× |
| Phosphatase acid prostatic (84066) | $86.10 | $123 | 8.9× |
| Phosphatase alkaline (84075) | $94.50 | $135 | 18.2× |
| Phosphatidylglycerol (84081) | $35.70 | $51 | 2.2× |
| Phospholipid Neutralization Hexagonal (85598) | $46.90 | $67 | 2.6× |
| Phosphorus Serum (84100) | $196.70 | $281 | 41.5× |
| Phosphorus urine (84105) | $53.90 | $77 | 9.3× |
| Pinworm exam (87172) | $102.20 | $146 | 23.9× |
| Platelet Aggregation (85576) range across 15 matching MRF lines |
$52.50–$119 | $75–$170 | varies |
| Platelet Antibodies (86022) range across 4 matching MRF lines |
$212.80–$243.60 | $304–$348 | varies |
| Platelet count automated (85049) | $55.30 | $79 | 12.3× |
| Pooling blood platelets (86965) | $252.70 | $361 | 1.3× |
| Porphobilinogen, urine; quantitative (84110) | $142.10 | $203 | 16.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $167.30 | $239 | 11.4× |
| Potassium Urine (84133) range across 5 matching MRF lines |
$41.30–$44.10 | $59–$63 | varies |
| Prealbumin (84134) | $149.80 | $214 | 10.3× |
| Pretreatment of serum for use in rbc antibody identification; incubation with inhibitors, each (86977) | $359.86 | $514.08 | 1.9× |
| Pretx RBC Antibody Incubat W/Chem Agnts/Drugs Ea (86970) | $124.74 | $178.20 | 1.9× |
| Pretx serum rbc antibody identification dilution (86976) | $54.87 | $78.39 | 1.7× |
| Primidone (80188) | $84.70 | $121 | 5.1× |
| Procalcitonin (Pct) (84145) | $329.70 | $471 | 12.1× |
| Progesterone (84144) | $113.40 | $162 | 5.4× |
| Prolactin (84146) | $145.60 | $208 | 7.5× |
| Protein body fluid (84157) range across 4 matching MRF lines |
$51.10–$85.40 | $73–$122 | varies |
| Protein C Activity (85303) | $125.30 | $179 | 9.1× |
| Protein c antigen (85302) | $93.80 | $134 | 7.8× |
| Protein Electrophoresis Urine (84166) range across 4 matching MRF lines |
$121.10–$128.10 | $173–$183 | varies |
| Protein Electrophoretic Fractj&Quantj Serum (84165) range across 5 matching MRF lines |
$112–$123.90 | $160–$177 | varies |
| Protein S Free (85306) | $142.10 | $203 | 9.3× |
| Protein s total (85305) | $99.40 | $142 | 8.6× |
| Protein total serum (84155) range across 4 matching MRF lines |
$44.80–$49.70 | $64–$71 | varies |
| Protein Total Urine (84156) range across 7 matching MRF lines |
$53.20–$86.80 | $76–$124 | varies |
| Protein Western Blot Test (84182) | $61.60 | $88 | 2.1× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $55.30 | $79 | 14.0× |
| Protoporphyrin rbc quantitative (84202) | $51.10 | $73 | 3.6× |
| Protoporphyrin, RBC; screen Facility (84203) | $90.30 | $129 | 9.3× |
| PSA free (84154) | $72.80 | $104 | 4.0× |
| Pth Intact (83970) range across 5 matching MRF lines |
$150.50–$207.90 | $215–$297 | varies |
| Q Fever Antibody (86638) range across 2 matching MRF lines |
$56.70–$187.60 | $81–$268 | varies |
| Quantiferon tb gold plus (86480) | $109.20 | $156 | 1.8× |
| Quantitative assay drug (80299) range across 12 matching MRF lines |
$79.80–$334.60 | $114–$478 | varies |
| Quantitative Screen Metals (83018) | $174.30 | $249 | 7.9× |
| Quinidine (80194) | $230.30 | $329 | 15.8× |
| Rbc antibody elution (86860) | $252.70 | $361 | 1.3× |
| Rbc antibody identification (86870) | $133 | $190 | 0.3× |
| Rbc antibody screen (86850) | $53.90 | $77 | 5.5× |
| Rbc pretreatment serum (86978) | $133 | $190 | 2.0× |
| Rbc pretx incubatj w/enzymes (86971) | $359.86 | $514.08 | 1.9× |
| Reagent Strip/Blood Glucose (82948) range across 2 matching MRF lines |
$42.70–$51.10 | $61–$73 | varies |
| Renin activity plasma (84244) | $279.30 | $399 | 12.7× |
| Reptilase test (85635) | $32.90 | $47 | 3.3× |
| Resp virus 12-25 targets (87633) range across 4 matching MRF lines |
$854.70–$1,028.30 | $1,221–$1,469 | varies |
| Reticulocyte Count (85046) | $74.90 | $107 | 13.4× |
| Reticulocyte Count Manual (85044) | $46.90 | $67 | 10.9× |
| Rh (86901) | $53.90 | $77 | 18.0× |
| Rheumatoid Factor Qualitative (86430) | $91 | $130 | 14.8× |
| Rheumatoid factor quant (86431) | $77 | $110 | 13.6× |
| Rickettsia antibody (86757) | $95.20 | $136 | 4.9× |
| Ristocetin cofactor (85245) | $197.40 | $282 | 8.6× |
| Rotavirus ag eia (87425) | $211.40 | $302 | 17.6× |
| Rpr qualitative (86592) | $100.80 | $144 | 23.6× |
| Rubella Antibody (86762) | $109.90 | $157 | 7.6× |
| Rubeola antibody (86765) | $131.60 | $188 | 10.2× |
| Russell Viper Venom Time Diluted (85613) | $78.40 | $112 | 8.2× |
| Salicylate Level (80179) | $338.80 | $484 | 18.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $289.10 | $413 | 5.6× |
| Sars-cov-2 COVID-19 antibody (86769) | $60.20 | $86 | 1.4× |
| Sarscov2 & inf a&b amp prb (87636) range across 2 matching MRF lines |
$362.60–$434.70 | $518–$621 | varies |
| Sarscov2&inf a&b&rsv amp prb (87637) | $674.10 | $963 | 4.7× |
| Sedimentation rate (85651) | $42.70 | $61 | 10.0× |
| Sedimentation Rate, Automated (85652) | $70.70 | $101 | 26.2× |
| Selenium (84255) | $145.60 | $208 | 5.7× |
| Semen Anal Sperm Detection (89321) | $120.40 | $172 | 10.0× |
| Semen analysis complete (89322) | $150.50 | $215 | 9.7× |
| Semen analysis complete (89320) range across 2 matching MRF lines |
$42–$50.40 | $60–$72 | varies |
| Semen analysis motility and count (89310) | $114.10 | $163 | 13.3× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $38.50 | $55 | 3.9× |
| Sensitivity mic (87186) range across 3 matching MRF lines |
$77–$165.20 | $110–$236 | varies |
| Serum Bactericidal Titer (87197) | $296.80 | $424 | 19.8× |
| Sex Hormone Binding Globulin (84270) | $76.30 | $109 | 3.5× |
| Sickling of rbc reduction (85660) | $72.80 | $104 | 13.2× |
| Sirolimus (80195) | $55.30 | $79 | 4.0× |
| Skin test tuberculosis intradermal (86580) | $51.80 | $74 | 1.6× |
| Smear acid fast (87206) range across 7 matching MRF lines |
$98–$118.30 | $140–$169 | varies |
| Smear complex stain (87209) range across 3 matching MRF lines |
$37.80–$225.40 | $54–$322 | varies |
| Smear gram stain (87205) range across 4 matching MRF lines |
$77–$93.10 | $110–$133 | varies |
| Smear Special Stain (87207) range across 7 matching MRF lines |
$35.70–$193.20 | $51–$276 | varies |
| Smn1 Gene Dos/Deletion Alys (81329) | $962.50 | $1,375 | 7.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 4 matching MRF lines |
$112–$154.70 | $160–$221 | varies |
| Sodium Serum (84295) range across 6 matching MRF lines |
$38.50–$42.70 | $55–$61 | varies |
| Sodium Urine (84300) range across 5 matching MRF lines |
$38.50–$41.30 | $55–$59 | varies |
| Soluble fibrin monomer (85366) | $62.30 | $89 | 0.8× |
| Soluble Transferrin Receptor (84238) | $193.20 | $276 | 5.3× |
| Somatomedin (84305) range across 2 matching MRF lines |
$109.90–$129.50 | $157–$185 | varies |
| Special Stains Group 1 (88312) | $67.20 | $96 | 1.2× |
| Special Stains Group 2 (88313) range across 6 matching MRF lines |
$35.70–$69.30 | $51–$99 | varies |
| Specific gravity body fluid (84315) | $36.40 | $52 | 11.1× |
| Specimen infect agnt concntj (87015) range across 5 matching MRF lines |
$63–$75.60 | $90–$108 | varies |
| Spectrophotometry (84311) range across 5 matching MRF lines |
$27.30–$140 | $39–$200 | varies |
| Splitting Blood/Blood Products Each Unit (86985) | $186.20 | $266 | 1.0× |
| Staph a DNA amp probe (87640) | $217 | $310 | 6.2× |
| Stool cultr aerobic bact ea (87046) | $146.30 | $209 | 15.5× |
| Strep a assay w/optic (87880) | $143.50 | $205 | 8.7× |
| Strep a DNA amp probe (87651) | $248.50 | $355 | 7.1× |
| Strep b DNA amp probe (87653) range across 2 matching MRF lines |
$93.10–$215.60 | $133–$308 | varies |
| Sugars Single Qual (84376) range across 2 matching MRF lines |
$49.70–$94.50 | $71–$135 | varies |
| Surg path level iii (88304) | $119.70 | $171 | 2.1× |
| Surgical pathology level IV (88305) range across 4 matching MRF lines |
$119.70–$130.20 | $171–$186 | varies |
| Surgical pathology level vi (88309) | $580.30 | $829 | 0.6× |
| Susceptbilty Stdy Antimicrbial Agnt Agar Dilutj (87181) range across 2 matching MRF lines |
$142.80–$230.30 | $204–$329 | varies |
| Susceptibility Study Antimicrobial Disk Method (87184) | $230.30 | $329 | 30.8× |
| Susceptiblty Stdy Antmcrb Micro/Agar Dilutj Ea (87187) | $96.60 | $138 | 2.4× |
| Sweat Collection Iontophoresis (89230) | $172.20 | $246 | 3.0× |
| Syphilis Test Non-Trep Quant (86593) | $46.20 | $66 | 10.5× |
| T cells absolute cd4 count (86361) | $134.40 | $192 | 5.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) range across 5 matching MRF lines |
$219.80–$314.30 | $314–$449 | varies |
| T cells total count (86359) range across 4 matching MRF lines |
$58.80–$175.70 | $84–$251 | varies |
| T3 Free (84481) | $126 | $180 | 7.4× |
| T3 reverse (84482) | $56.70 | $81 | 3.6× |
| T3 Total (84480) range across 5 matching MRF lines |
$109.20–$112 | $156–$160 | varies |
| T3 Uptake (84479) | $113.40 | $162 | 17.5× |
| T4 Free (84439) | $100.10 | $143 | 11.1× |
| T4 total (84436) | $114.10 | $163 | 16.6× |
| Tacrolimus (80197) | $164.50 | $235 | 12.0× |
| Test for acetone/ketones (82009) | $77.70 | $111 | 17.2× |
| Testosterone Bioavailable (84410) | $179.20 | $256 | 3.5× |
| Testosterone total (84403) range across 8 matching MRF lines |
$41.30–$181.30 | $59–$259 | varies |
| Testosterone, Free (84402) range across 6 matching MRF lines |
$42.70–$100.10 | $61–$143 | varies |
| Theophylline (80198) | $168 | $240 | 11.9× |
| Thrombin Time (85670) range across 3 matching MRF lines |
$54.60–$56.70 | $78–$81 | varies |
| Thrombin time titer (85675) | $56.70 | $81 | 8.3× |
| Thromboplastin Time Prtl Substit Plasma Frctj Ea (85732) | $100.10 | $143 | 15.5× |
| Thyroglobulin (84432) range across 6 matching MRF lines |
$56.70–$108.50 | $81–$155 | varies |
| Thyroglobulin Antibody (86800) range across 6 matching MRF lines |
$36.40–$101.50 | $52–$145 | varies |
| Thyroid Stimulating Immunoglobulin (84445) | $345.10 | $493 | 6.8× |
| Tiss cul neo disorders solid tumor (88239) | $625.10 | $893 | 4.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) range across 3 matching MRF lines |
$42–$201.60 | $60–$288 | varies |
| Tissue Culture (88233) | $793.10 | $1,133 | 5.6× |
| Tissue Culture Amniotic Fluid (88235) | $676.20 | $966 | 4.5× |
| Tissue culture bone marrow (88237) | $635.60 | $908 | 4.4× |
| Tissue Culture Lymphocyte (88230) | $374.50 | $535 | 3.2× |
| Tobramycin peak (80200) range across 2 matching MRF lines |
$165.20–$198.10 | $236–$283 | varies |
| Topiramate (80201) | $100.80 | $144 | 8.5× |
| Touch prep (88161) | $67.20 | $96 | 2.1× |
| Toxoplasma ab igm (86778) | $101.50 | $145 | 7.0× |
| Toxoplasma antibody (86777) | $127.40 | $182 | 8.9× |
| Transferase Aspartate Amino Ast Sgot (84450) | $56.70 | $81 | 10.9× |
| Transferrin (84466) | $126 | $180 | 9.9× |
| Trg gene rearrangement anal (81342) | $252.70 | $361 | 1.3× |
| Trichomonas Vaginalis Amplif (87661) range across 3 matching MRF lines |
$189–$217 | $270–$310 | varies |
| Triglycerides (84478) | $60.90 | $87 | 10.6× |
| Troponin Quant (84484) | $133 | $190 | 10.7× |
| Troponin, qualitative (84512) | $163.80 | $234 | 16.2× |
| Tumor Immunohistochem/Manual (88360) | $119.70 | $171 | 0.6× |
| Unlisted Surgical Pathology Procedure (88399) | $49 | $70 | 0.8× |
| Unlisted Transfusion Medicine Procedure (86999) | $470.40 | $672 | 14.6× |
| Urea Nitrogen Clearance (84545) | $24.50 | $35 | 3.4× |
| Urea nitrogen urine (84540) | $39.90 | $57 | 7.2× |
| Uric acid other source (84560) | $41.30 | $59 | 8.1× |
| Urinalysis Microscopic Only (81015) | $38.50 | $55 | 12.6× |
| Urinalysis Volume Measure (81050) | $23.80 | $34 | 6.5× |
| Urinalysis; 2 or 3 glass test Facility (81020) | $39.90 | $57 | 8.5× |
| Urine Bacteria Culture (87088) | $112.70 | $161 | 13.9× |
| Urine Pregnancy Test (81025) | $70 | $100 | 8.1× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $74.20 | $106 | 23.4× |
| Urobilinogen urine qual (84578) | $39.90 | $57 | 8.9× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) | $43.40 | $62 | 4.5× |
| Valproic acid (80164) | $193.20 | $276 | 14.3× |
| Vancomycin (80202) | $183.40 | $262 | 13.5× |
| Varicella-zoster antibody (86787) range across 5 matching MRF lines |
$79.80–$88.90 | $114–$127 | varies |
| Vasopressin (84588) | $274.40 | $392 | 8.1× |
| Viral Culture (87252) | $322 | $460 | 12.4× |
| Virus antibody nos (86790) range across 5 matching MRF lines |
$43.40–$182 | $62–$260 | varies |
| Virus inoculate tissue addl (87253) | $126.70 | $181 | 6.3× |
| Virus inoculation, shell via (87254) | $87.50 | $125 | 4.5× |
| Viscosity serum (85810) | $64.40 | $92 | 5.5× |
| Vit D 1 25-Dihydroxy (82652) | $156.10 | $223 | 4.1× |
| Vitamin A (84590) | $93.10 | $133 | 8.0× |
| Vitamin b-12 (82607) | $119.70 | $171 | 7.9× |
| Vitamin B6 (84207) | $56.70 | $81 | 2.0× |
| Vitamin c (82180) | $41.30 | $59 | 4.2× |
| Vitamin D 25-Hydroxy (82306) | $203.70 | $291 | 6.9× |
| Vitamin E (84446) | $75.60 | $108 | 5.3× |
| Vitamin K (84597) | $149.80 | $214 | 10.9× |
| Voltage-Gated Calcium Channel Antibody Each (86596) | $67.20 | $96 | 5.6× |
| Von willebrand factor ag (85246) | $158.20 | $226 | 6.9× |
| Wbc Alkaline Phosphatase Count (85540) | $73.50 | $105 | 8.5× |
| West nile virus ab igm (86788) range across 3 matching MRF lines |
$171.50–$172.90 | $245–$247 | varies |
| West Nile Virus Antibody (86789) | $172.90 | $247 | 12.0× |
| Western Blot Test (84181) range across 3 matching MRF lines |
$54.60–$308 | $78–$440 | varies |
| Xm Archive Tissue Molec Anal (88363) | $37.80 | $54 | 1.2× |
| Xylose Absorption Test (84620) | $224.70 | $321 | 17.4× |
| Zinc (84630) | $105 | $150 | 9.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.